Class III
,
Anterior crossbite
,
Edge to edge bite
,
Mandibular midline deviation
,
Crowding

Elastics: Class III
,
Extrusion
,
Intrusion
,
IPR

Treatment information

  • Age: 44
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class III
  • Anterior crossbite
  • Mandibular midline deviation
  • Edge to edge bite
  • Crowding

Use of:

  • Extrusion
  • Intrusion
  • IPR
  • Elastics: Class III
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 2.4 (UL4), Buccal 4.5 (LR5), Buccal 3.5 (LL5)
  • Power ridge feature (G3) on Buccal 4.1 (LR1), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 1.5 (UR5), Buccal 2.5 (UL5)
  • Pressure areas (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 1.3 (UR3), Lingual 2.2 (UL2), Lingual 2.3 (UL3)
Courtesy of Dr K. Tokuhisa 2018

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final
lower
right
front
left
Click to compare enlarged
upper
Progress
lower
right
front
left

Radiographs

ClinCheck treatment plan

video anterior
video right-left
video upper-lower
Download ADF files
Initial
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Overjet improved
  • Midlines coincident
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 27 months

Number of aligners

  • Maxillary: 27 + 10 = 37
  • Mandibular: 26 + 13 = 39

Aligner wear time

  • 2-weeks

Comments

  • The treatment plan was to align the teeth and to correct the anterior crossbite through lingual root torque with Power ridge.
    We corrected the anterior crossbite and aligned the teeth with Class Ⅲ elastics and the use of IPR